Patient-Reported Outcomes in Orthopaedics

MOTION Authors (Li X).  Patient-reported outcomes in orthopaedics. Current Concepts Review.  Journal of Bone and Joint Surgery – American. 2018 Mar 7;100(5): 436-42.

Abstract:
Patient-reported outcomes (PROs) assess a patient’s perspective of health, function, and quality of life associated with health conditions and medical interventions. Health-care value is the ratio of health outcomes achieved relative to the total cost of care for a medical condition. Common PRO designs assess general quality of life, system or region-specific conditions, disease-specific conditions, or mixed outcome measure designs. Patient-Reported Outcomes Measurement Information System (PROMIS) measures domains of health (e.g., fatigue, physical function, and depressive symptoms), not disease or injury-specific outcomes, allowing for comparability across conditions and normative scoring. PROs offer a unique format to the clinician for understanding the impact of medical conditions or interventions and, as a result, may improve the care provided.